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a�a-+au-uucu City of Zephyrhiiis Permit Appiicatian Fax-813-784-4424 <br /> Bullding Department <br /> Dafe 13ecelved �j �L���" ( Phone Contact for Permtttin t� �-� '�= v L� " <br /> � ""� ; `� `� Owner Pfione Number 7 -���C ��r� <br /> Owner's Name � � �i.r'� ^�� �S <br /> .r�.- / <br /> Owner's Address � J �� � h- � Owner Phone Number _. <br /> Fae Simple 7itleholder Name �— � Owner Phone Number ,_ <br /> Fee Simpte Titleholder Address <br /> '" � �r Lt�T# C� <br /> JQS MDRESS r .5�.�,� 1` <br /> SUBDIVISION I--�� I f"�W��`�'-`�� � p�CELID# <br /> (QBTAINED FROM PROPERTY TAX NOSIGE} <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT [� S1GN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PRQPQSED USE (� SFR Q COMM 0 UTHER <br /> TYPE OF CONSTRUCTION Q BLOGK [� FRAME C� STEEL Q <br /> DESCRIPTION OF WORK .�'/. 'i':� ~ :.t*'i'�..1�"f�C.r� yis ' C/✓�?�-r".--� �'G.r .�t2� �-i2�;?� <br /> BUtLDtNG SIZE �! SQ FOOTAGE� HEIGHT �`� <br /> QBUtLDiN� � $ J k1� �� VALUATION OF TOTAL CONSTFiUCT10N <br /> 1 t/ <br /> CJEI.ECTRICAI �- � AMP SERVICE [� PROGRESS ENERGY [� W.R.E.C. <br /> QPI.UMBING ($ii� <br /> �- � �,�� <br /> QMECNANICAL $ \lALUA710N 4F MEGHANICA�ENSTALtATiOiV � � <br /> QGAS Q ROOFIfVG [� SPECIA�TY � QTHER <br /> =iNiSHED FLOOR ELEVATtONS �� FLOOD ZONE AREA QYES NO <br /> �� j� � <br /> 3UI�DER y.JL�Y �PANY . ��'G2.�'7'�Q-"P""' <br /> 3tGNATURE I REGIS7ERED Y J N FEE CURRE� Y/N <br /> Address Llcense# � � <br /> °_�ECTRICtAN COMPANY <br /> i1GNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> ._,.�,.�� <br /> Addrsss License# � '�'� <br /> 'I.UMBER � � COMPANY <br /> i1GNATURE 4tEGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# �— '� <br /> AECHANICAL _ ___� _--r--� COMFANY <br /> tlGMATURE � REGiSTERED Y I N FEE CURRE� Y J N <br /> Address License# � 4�—� <br /> ►THER C411RPAMY <br /> �IGNATURE REGlSTEREQ Y i N FEE CURRE� Y/N <br /> Address License# �ii+ �� <br /> :ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far�ew construction, <br /> Minimum ten(10�working days after submiktal date. Requtred onsfte,Construction Flans,Stormwater Pfans w/Sftt Fenee installed, <br /> Sanitary FaciliUes&1 dumpster,Site Work Permit for subdtvis(ons/large projects <br /> OMMEFtC1AL Attach(3)complete sets of Building Plans plus a l.ife Safety Page;{1}set af Energy Fomts.R-O-W Permif far new cons#rvction. - � - <br /> Minimum ten{10)wodcing days after submittal date. Required artslte,Constn�ctioce Pians,Stormwater Ptans wl Sif#Fence i�statted, <br /> SanRary Faciltties&1 dumpster,Site Work Permlt for a!!new projects.Rii commerc}at requirements mnst meet comptiance <br /> IGN PERMIT Attach(2)sets of Engineered Plans. <br /> "•••PROPERTY SURVEY requ3red for a!I NEW constructton. <br /> irections: <br /> Fql out applicatian completely. <br /> Owner 8�Contractor sign back of appilcation,natarized <br /> !f over b2500.a Notice cf Cammencement fs required. (A►C upgrad+�s ov8r S75dd) <br /> Agent(for the contractor)or Power of Attomey(for tF�e owner)would ba someone with notarized letter from owrzer authorizing same-- - --, � - <br /> VER THE CdUNTER PERMlTTING , (Front of Appiiratian.Oniy} ' � '� , , <br /> eroofs if shingles Sewers Service Upgrades`A!C Fences(Ftot/Survey/Footage} , ; <br /> r, . . <br /> Drtveways-Not over+Counter fF on pubiic roadways..needs ROW ,., _ .� _ -� -. > -� _ � � - ° <br />